Individual
CONCILIA MBAWUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5372 FALLOWATER LN STE 200, ROANOKE, VA 24018-0909
(216) 672-3100
(216) 362-0677
Mailing address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 672-3100
(216) 362-0677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024186984
VA
Other
Enumeration date
04/26/2023
Last updated
02/26/2026
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